Evidence map›Paper›PMID 35509786›Full record

ArticleIJU case reports2022

Complete response to pembrolizumab for metastatic urothelial carcinoma in the renal pelvis of allograft kidney.

Jun Kamei, Hirotaka Yokoyama, Toshiro Niki, Ryosuke Suda, Toru Sugihara, Akira Fujisaki, Satoshi Ando, Daiki Iwami, Tetsuya Fujimura

Open access · goldAbstract readCase Reports
In one paragraph

Article in IJU case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jun KameiDepartment of Urology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-0069-7392
Hirotaka YokoyamaDepartment of Urology Jichi Medical University Tochigi Japan.
Toshiro NikiDepartment of Integrative Pathology Jichi Medical University Tochigi Japan.
Ryosuke SudaDepartment of Renal Surgery and Transplantation Jichi Medical University Tochigi Japan.
Toru SugiharaDepartment of Urology Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-0901-3209
Akira FujisakiDepartment of Urology Jichi Medical University Tochigi Japan.
Satoshi AndoDepartment of Urology Jichi Medical University Tochigi Japan.
Daiki IwamiDepartment of Renal Surgery and Transplantation Jichi Medical University Tochigi Japan.ORCID https://orcid.org/0000-0002-8274-848X
Tetsuya FujimuraDepartment of Urology Jichi Medical University Tochigi Japan.
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: We present a case of urothelial carcinoma in a renal allograft successfully treated with pembrolizumab. Case presentation: A 39-year-old woman presented with nausea and anorexia 9 years after a renal transplantation. Positron emission tomography revealed a neoplasm of the renal pelvis of the allograft and multiple lymph nodes with peritoneal metastasis. A diagnosis of a non-muscle-invasive bladder tumor with peritoneal dissemination and jejunal metastasis of urothelial carcinoma was made. After five cycles of gemcitabine and carboplatin, the tumor progressed and pembrolizumab was administered. One week after the first dose, the allograft was rejected, necessitating arterial embolization. After the second cycle, the patient developed Stevens-Johnson syndrome. After discontinuing pembrolizumab, positron emission tomography revealed no increased tumor activity. A complete response was achieved for 21 months without additional treatment. Conclusion: Pembrolizumab was effective in treating urothelial carcinoma of the renal allograft; however, allograft rejection and loss should be considered.

Indexed as

immune checkpoint inhibitorkidney transplantationpembrolizumabtransplant rejectionurothelial carcinoma

Identifiers

PMID35509786
PMCPMC9057750
OpenAlexW4220980805

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.